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Kathalia Upazila Health Complex | Health Bulletin 2015 |
Preface
It is a great pleasure to me for publishing a health bulletin 2014 of kathalia upazila health complex under jhalokathi district.This bulletin contains all the health related information of 2014. This bulletin is published to disseminate the information of kathalia upazila to other line department and development partners of health .I hope all the information of this bulletin will help for planning and bridging the gaps in this upazila .This health bulletin has the information on ANC,PNC on delivery status of this upazila; which will suggest the emergency need for EOC and will help to reach our goal MDG-5. It has also the information of safe drinking water and sanitation status of the upazila.All the sanction and vacant posts are published in this bulletin 2014.I would like to take attention of the higher authority to look in this issue.Finally I would like to congratulate the initiator of this health bulletin software for setting us one stop ahead toward digital Bangladesh.
Dr Md. Zafor Ali Khan
UH&FPO
Kathalia Upazila Health Complex

Kathalia Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Kathalia
Organization Code 10002027
Name of UHFPO Dr Md. Zafor Ali Khan
Land Phone No. 1
Land Phone No. 2
FAX No.
Mobile No. 01711783682
Email kathalia@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 20.0000 And Long: 87.0000
No. of Unions in the Upazila6
No. of Households in the Upazila 24,185
Population in the Upazila 118,624
Area of Upazila in sq km 152.08

Kathalia Upazila Health Complex | Health Bulletin 2015 | Page# 2
Existing health facilities in the Upazila
Facility Type
Total (No.)
No. of Beds
No. of Upazila Health Complex 1 31
No. of OPD at Sadar Upazila Health Facility 0 0
No. of Union Sub-Centres 2 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 0 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 5 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 17 0
No of Trauma Centres 0 0
No. of MCWCs (belongs to DGFP) 0 0
No. of Chest Disease Clinics (TB Clinics) 0 0
No. of Private Clinics/Facilities 1 0
No. of NGO Clinics/Facilities 0 0

Kathalia Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 2,819


Under 5 Mortality Rate: 6.385 (Per 1,000 live births)
Infant Mortality Rate: 2.838 (Per 1,000 live births)
Neonatal Mortality Rate: 1.064 (Per 1,000 live births)
Still Birth Rate: 1.774 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 20,602
Fully Vaccinated Children (<= 12 months): 99.00 %
Fully Vaccinated Children (<= 23 months): 99%

Kathalia Upazila Health Complex | Health Bulletin 2015 | Page# 4
Maternal health and MDG-5 (Whole Upazila) (Jan-Dec, 2014)
R.P.W.: Registered Pregnant Women; 1st ANC: No. of 1st ANC recipients; 4th ANC: No. of 4th ANC recipients; C. Preg.: No. of complicated pregnancy; N.V. deli.: No. of normal deliveries; C. deli.: No. of cesarean deliveries; O. deli.: No. of other deliveries; PNC: No. of PNC services provided to the mothers;



No. of Maternal Deaths: 4
Total No. of Recipients Who Took at least one ANC: 3,139
Total Number of Deliveries: 2,974
Valid TT Coverage: 9.00 %
Maternal Mortality Ratio (MMR) is: 141.89 per 100,000 live births.

Kathalia Upazila Health Complex | Health Bulletin 2015 | Page# 5

No. of OPD & Emergency visits at Upazila
Health Facility
OPD
Emergency
Above 5 Yr Below 5 Yr Above 5 Yr Below 5 Yr
. M F T (M+F) M F T (M+F) Grand Total M F T (M+F) M F T (M+F) Grand Total
Upazila Health Complex 15,955 22,255 38,210 2,248 3,335 5,583 43,793 1,140 1,000 2,140 242 247 489 2,629
Union Sub-Centres 17,226 22,861 40,087 2,156 3,471 5,627 45,714 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGFP) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Community Clinics 38,232 67,131 105,363 4,690 4,702 9,392 114,755 0 0 0 0 0 0 0
Trauma Centres 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MCWCs (belongs to DGFP) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Chest Disease Clinics (TB Clinics) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Private Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Kathalia Upazila Health Complex | Health Bulletin 2015 | Page# 6

No. of Admissions & Deaths at Upazila
Health Facility
Admission
Death
Above 5 Yr Below 5 Yr Above 5 Yr Below 5 Yr
. M F T (M+F) M F T (M+F) Grand Total M F T (M+F) M F T (M+F) Grand Total
Upazila Health Complex 1,106 1,045 2,151 160 100 260 2,411 6 7 13 0 0 0 13
Trauma Centres 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MCWCs (belongs to DGFP) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Chest Disease Clinics (TB Clinics) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Private Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Kathalia Upazila Health Complex | Health Bulletin 2015 | Page# 7

Top 10 diseases according to the number of patients admitted in the UHC during the reporting period
Total number of admitted patients during the reporting period 2,629
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 409 15.56
2 Y04 Assault by bodily force XX: External causes of morbidity and mortality 211 8.03
3 J459 Asthma, unspecified X: Diseases of the respiratory system 130 4.94
4 J189 Pneumonia, unspecified X: Diseases of the respiratory system 132 5.02
5 A010 Typhoid fever I: Certain infectious and parasitic diseases 80 3.04
6 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 52 1.98
7 V899 Person injured in unspecified vehicle accident XX: External causes of morbidity and mortality 46 1.75
8 O089 Complication following abortion and ectopic and molar pregnancy, unspecified XV: Pregnancy, childbirth and the puerperium 28 1.07
9 F419 Anxiety disorder, unspecified V: Mental and behavioural disorders 35 1.33
10 G969 Disorder of central nervous system, unspecified VI: Diseases of the nervous system 32 1.22

Kathalia Upazila Health Complex | Health Bulletin 2015 | Page# 8

Top 10 Causes of diseases according to the number of deaths among admitted patients in the UHC
Total number of Deaths during the reporting period 13
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 4 30.77
2 J459 Asthma, unspecified X: Diseases of the respiratory system 2 15.38
3 J449 Chronic obstructive pulmonary disease, unspecified IX: Diseases of the circulatory system 2 15.38
4 I679 Cerebrovascular disease, unspecified IX: Diseases of the circulatory system 3 23.08
5 I50 Heart failure IX: Diseases of the circulatory system 1 7.69
6 R50 Fever of unknown origin XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 1 7.69
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

Kathalia Upazila Health Complex | Health Bulletin 2015 | Page# 9

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 98.00
Coverage of households having access to sanitary latrines (%) 97.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 12,927
Bed Occupancy Rates (%) 114.25
Average Length of Hospital Stay (No. of days per patient) 4.92
Hospital Death Rate (%) 0.49


Kathalia Upazila Health Complex | Health Bulletin 2015 | Page# 10

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 1,680

 

Kathalia Upazila Health Complex | Health Bulletin 2015 | Page# 11

Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
UHC
Class I Doctor 9 2 0 7 77.78
Non Doctor 0 0 0 0 0.00
Class II 12 0 12 0 0.00
Class III 19 9 1 9 47.37
Class IV 21 13 3 5 23.81
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 6 1 0 5 83.33
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 4 3 0 1 25.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 0 0 0 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 2 2 0 0 0.00
Class IV 0 0 0 0 0.00
Community Clinics
Class I Doctor 0 0 0 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 20 10 5 5 25.00
Class IV 0 0 0 0 0.00

 

Kathalia Upazila Health Complex | Health Bulletin 2015 | Page# 12

Status of Human Resources (Class wise)
Class Sanctioned (No.) Filled-up (No.) Vacant (No.) Vacancy %
M F
Upazila Total
Class I Doctor 15 3 0 12 80.00
Non Doctor 0 0 0 0 0.00
Class II 12 0 12 0 0.00
Class III 66 36 11 19 28.79
Class IV 21 13 3 5 23.81
Other Hospitals & Clinics
Class I Doctor 0 0 0 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 0 0 0 0 0.00
Class IV 0 0 0 0 0.00

 

Kathalia Upazila Health Complex | Health Bulletin 2015 | Page# 13

Status of Human Resources (No.) (Category wise)
Manpower Community Clinic USC/UHFWC/RD UHC Others IMCI trained Basic EOC trained CSBA trained
Sanctioned Filled-up Sanctioned Filled-up Sanctioned Filled-up Sanctioned Filled-up
Physician 0 0 6 1 9 2 0 0 1 0 0
Nurse 0 0 0 0 12 12 0 0 3 7 0
Medical Assistant 0 0 6 6 2 2 0 0 6 4 0
Medical Technologist 0 0 0 0 2 0 0 0 0 0 0
CHCP 20 15 0 0 0 0 0 0 15 0 0
HI 0 0 0 0 2 2 0 0 2 0 0
AHI 0 0 0 0 6 0 0 0 0 0 0
HA 0 0 0 0 30 28 0 0 21 0 0

Kathalia Upazila Health Complex | Health Bulletin 2015 | Page# 14

Existing equipment at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Radiology equipment
X-ray machine (100 mA) 1 0 0 1 0
X-ray machine (300 mA) 1 1 0 0 0
Ultrasonogram machine 0 0 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 0 0 0 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 0 0 0 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 0 0 0 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 1 0 1 0 0
Portable OT Light 2 1 1 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 1 0 1 0 0
Sucker machine (electric) 1 1 0 0 0
Ventilator 0 0 0 0 0


Kathalia Upazila Health Complex | Health Bulletin 2015 | Page# 15

Existing equipment at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Cardiology equipment
ECG machine 0 0 0 0 0
Ecocardiogram machine 0 0 0 0 0
Nebulizer machine 10 6 0 4 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 0 0 0 0 0


Kathalia Upazila Health Complex | Health Bulletin 2015 | Page# 16

Existing equipment at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Lab equipment
Biochemical auto-analyzer 0 0 0 0 0
Centrifuge machine (electric) 0 0 0 0 0
Colorimeter 0 0 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 1 1 0 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Kathalia Upazila Health Complex | Health Bulletin 2015 | Page# 17

Existing equipment at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Blood bank equipment
Hemoglobin photometer 0 0 0 0 0
Blood bank refrigerator 0 0 0 0 0
Refrigerator 0 0 0 0 0
Vehicles
Ambulance 2 2 0 0 0


Kathalia Upazila Health Complex | Health Bulletin 2015 | Page# 18

Existing equipment at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Air conditioner
Air conditioner (split type) 0 0 0 0 0
Air conditioner (window) 1 1 0 0 0
Generator
Generator (diesel/petrol) 0 0 0 0 0
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 0 0 0 0 0
ICT equipment
Computer (desktop) 2 2 0 0 0
Laptop 1 1 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 1 1 0 0 0
Scanner 1 1 0 0 0
UPS 1 1 0 0 0
Fax 0 0 0 0 0
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Internet wireless line 1 1 0 0 0
Multimedia 1 1 0 0 0


Kathalia Upazila Health Complex | Health Bulletin 2015 | Page# 19

Existing equipment at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
OHP 2 1 1 0 0
PA system (Sound) 0 0 0 0 0
Land phone 0 0 0 0 0
Mobile phone 1 1 0 0 0
Total 30 22 3 5 0

Kathalia Upazila Health Complex | Health Bulletin 2015 | Page# 20

Important information and necessary issues for Kathalia Upazila Health Complex
Last year we could not give our maximum efforts to improve the health status due to many reason. Here I like to mention some important factors which will help us to achieve good results in future.1. The vacant post should be filled immediately including field staff . 2.A new Xray-Machine and ECG Machine should supply at emergency basis 3. Consultants of Surgery, Gynoe & Anaesthesia should be posted immediately. 4. EOC program should start immediately. I am very happy to write this health bulletin of 2014 because this document will help us to compare our progress in up coming years . This is very useful document and will help the public to understand health services and to provide us the useful advice for improvement in future.